HESI Comprehensive Exam A
1. Enalapril maleate is prescribed for a hospitalized client. Which evaluation does the nurse
carry out as a concern earlier than administering the medicine?
A. Checking the customer's blood strain
B. Checking the patron's peripheral pulses
C. Checking the most latest potassium level
D. Checking the customer's consumption-and-output report for the remaining 24 hours - ANS-A.
Checking the patron's blood strain
2. A consumer is scheduled to go through an upper gastrointestinal (GI) series, and the nurse
affords instructions to the patron approximately the take a look at. Which announcement by way
of the patron shows a need for similarly guidance?
A. "The check will take about 30 minutes."
B. "I need to rapid for eight hours earlier than test."
C. "I need to drink citrate of magnesia the night time earlier than the check and supply myself a
Fleet enema on the morning of the test."
D. "I want to take a laxative after the test is completed, because the liquid that I'll ought to drink
for the check may be constipating." - ANS-C. "I need to drink citrate of magnesia the night
earlier than the check and give myself a Fleet enema at the morning of the check."
three. A nurse at the nighttime shift exams a fitness care provider's prescriptions and notes that
the dose of a prescribed medication is better than the normal dose. The nurse calls the health
care issuer's answering carrier and is advised that the fitness care issuer is off for the night and
can be to be had in the morning. The nurse must:
A. Call the nursing manager
B. Ask the answering service to touch the on-name fitness care issuer
C. Withhold the drugs until the health care provider can be reached inside the morning
D. Administer the medicine however seek advice from the fitness care issuer when he turns into
to be had - ANS-B. Ask the answering carrier to contact the on-name fitness care provider
four. An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is waiting for switch to the coronary in depth care unit. The nurse
notes the unexpected onset of premature ventricular contractions (PVCs) at the display,
assessments the client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The suitable movement via the nurse is:
A. Documenting the findings
B. Asking the ED fitness care company to check the purchaser
C. Continuing to reveal the client's cardiac fame
D. Informing the patron that PVCs are anticipated after an MI - ANS-B. Asking the ED health
care company to test the consumer
,five. NPO status is imposed 8 hours earlier than the manner on a customer scheduled to go
through electroconvulsive therapy (ECT) at 1 p.M. On the morning of the system, the nurse
assessments the patron's record and notes that the client automatically takes an oral
antihypertensive medicinal drug every morning. The nurse must:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication with the aid of manner of the intravenous (IV) direction
D. Hold the antihypertensive and resume its administration on the day after the ECT - ANS-A.
Administer the antihypertensive with a small sip of water
6. A purchaser who lately underwent coronary artery skip graft surgical treatment comes to the
health care company's office for a comply with-up go to. On assessment, the consumer tells the
nurse that he's feeling depressed. Which reaction through the nurse is healing?
A. "Tell me greater about what you're feeling."
B. "That's a ordinary reaction after this kind of surgery."
C. "It will take time, however, I promise you, you'll get over this melancholy."
D. "Every consumer who has this surgical operation feels the identical manner for about a
month." - ANS-A. "Tell me more about what you feel."
7. A patron in labor stories spontaneous rupture of the membranes. The nurse at once counts
the fetal coronary heart charge (FHR) for 1 full minute after which tests the amniotic fluid. The
nurse notes that the fluid is yellow and has a robust smell. Which movement should be the
nurse's priority?
A. Contacting the health care issuer
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the purchaser and the FHR - ANS-A. Contacting the health care
company
8. A nurse has assisted a health care issuer in putting a relevant venous access tool right into a
client with a diagnosis of excessive malnutrition who could be receiving parenteral vitamins
(PN). After insertion of the catheter, the nurse straight away plans to:
A. Call the radiography department to reap a chest x-ray
B. Check the customer's blood glucose stage to function a baseline size
C. Hang the prescribed bag of PN and begin the infusion on the prescribed price
D. Infuse regular saline answer thru the catheter at a price of one hundred mL/hr to hold
patency - ANS-A. Call the radiography department to obtain a chest x-ray
9. A rape sufferer being handled in the emergency branch says to the nurse, "I'm honestly
worried that I've got HIV now." What is the correct response by means of the nurse?
A. "HIV is rarely an problem in rape sufferers."
B. "Every rape victim is involved approximately HIV."
C. "You're more likely to get pregnant than to agreement HIV."
,D. "Let's communicate approximately the statistics that you need to determine your chance of
contracting HIV." - ANS-D. "Let's communicate approximately the statistics that you need to
determine your threat of contracting HIV."
10. A consumer is taking prescribed ibuprofen , three hundred mg orally 4 instances daily, to
relieve joint pain resulting from rheumatoid arthritis. The patron tells the nurse that the
medication is inflicting nausea and indigestion. The nurse have to tell the customer to:
A. Contact the health care provider
B. Stop taking the drugs
C. Take the medicine with meals
D. Take the drugs twice an afternoon as opposed to four times - ANS-C. Take the medication
with meals
eleven. A client's oral intake of liquids includes a hundred and twenty mL at the night shift, 800
mL at the day shift, and 650 mL at the night shift. The patron is receiving an intravenous (IV)
antibiotic every 12 hours, diluted in 50 mL of normal saline answer. The nurse empties 700 mL
of urine from the purchaser's Foley catheter at the end of the day shift. Thereafter, 500 mL of
urine is emptied at the cease of the nighttime shift and 325 mL at the give up of the night shift.
Nasogastric tube drainage totals one hundred fifty five mL for the 24-hour period, and the
overall drainage from the Jackson-Pratt tool is a hundred seventy five mL. What is the client's
general consumption at some stage in the 24-hour period? Type your solution in the space
supplied. ________mL - ANS-1670 mL
Rationale: The consumer's 24-hour general oral consumption is 1570 mL, and the IV intake
totals a hundred mL (50 mL of regular saline solution every 12 hours). Therefore the 24-hour
intake total is 1670 mL.
12. Lorazepam 1 mg by way of manner of intravenous (IV) injection (IV push) is prescribed for a
customer for the control of anxiety. The nurse prepares the medication as prescribed and
administers the medication over a period of:
A. 3 mins
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANS-A. Three minutes
13. A nurse, undertaking an assessment of a purchaser being seen inside the medical institution
for signs of a sinus infection, asks the client about medicinal drugs that he is taking. The
customer tells the nurse that he is taking nefazodone hydrochloride . On the idea of this
information, the nurse determines that the purchaser maximum probable has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - ANS-A. Depression
, 14. Phenelzine sulfate is prescribed for a patron with depression. The nurse gives records to the
purchaser about the detrimental outcomes of the medication and tells the client to contact the
fitness care provider straight away if she studies:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ANS-D. Neck stiffness or pain
15. Risperidone is prescribed for a customer hospitalized in the intellectual fitness unit for the
remedy of a psychotic disease. Which locating inside the purchaser's medical report could
prompt the nurse to touch the prescribing fitness care company before administering the drugs?
A. The patron has a records of cataracts.
B. The purchaser has a history of hypothyroidism.
C. The consumer takes a prescribed antihypertensive.
D. The customer is allergic to acetylsalicylic acid (aspirin). - ANS-C. The patron takes a
prescribed antihypertensive.
Sixteen. A patron who has been undergoing lengthy-time period therapy with an antipsychotic
medicinal drug is admitted to the inpatient intellectual fitness unit. Which finding does the nurse,
knowing that long-time period use of an antipsychotic remedy can purpose tardive dyskinesia,
display within the purchaser?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ANS-D. Tongue protrusion
17. A nurse is reviewing the document of a consumer scheduled for electroconvulsive remedy
(ECT). Which prognosis, if noted on the customer's file, could imply a need to touch the health
care issuer who's scheduled to carry out the ECT?
A. Recent stroke
B. Hypothyroidism
C. History of glaucoma
D. Peripheral vascular disorder - ANS-A. Recent stroke
18. A customer scheduled for suprapubic prostatectomy has listened to the healthcare
professional's clarification of the surgical operation. The consumer later asks the nurse to give
an explanation for again how the prostate goes to be eliminated. The nurse tells the client that
the prostate might be removed through:
A. A decrease abdominal incision
B. An higher stomach incision
C. An incision made inside the perineal area
D. The urethra, with using a reducing cord - ANS-A. A lower abdominal incision
1. Enalapril maleate is prescribed for a hospitalized client. Which evaluation does the nurse
carry out as a concern earlier than administering the medicine?
A. Checking the customer's blood strain
B. Checking the patron's peripheral pulses
C. Checking the most latest potassium level
D. Checking the customer's consumption-and-output report for the remaining 24 hours - ANS-A.
Checking the patron's blood strain
2. A consumer is scheduled to go through an upper gastrointestinal (GI) series, and the nurse
affords instructions to the patron approximately the take a look at. Which announcement by way
of the patron shows a need for similarly guidance?
A. "The check will take about 30 minutes."
B. "I need to rapid for eight hours earlier than test."
C. "I need to drink citrate of magnesia the night time earlier than the check and supply myself a
Fleet enema on the morning of the test."
D. "I want to take a laxative after the test is completed, because the liquid that I'll ought to drink
for the check may be constipating." - ANS-C. "I need to drink citrate of magnesia the night
earlier than the check and give myself a Fleet enema at the morning of the check."
three. A nurse at the nighttime shift exams a fitness care provider's prescriptions and notes that
the dose of a prescribed medication is better than the normal dose. The nurse calls the health
care issuer's answering carrier and is advised that the fitness care issuer is off for the night and
can be to be had in the morning. The nurse must:
A. Call the nursing manager
B. Ask the answering service to touch the on-name fitness care issuer
C. Withhold the drugs until the health care provider can be reached inside the morning
D. Administer the medicine however seek advice from the fitness care issuer when he turns into
to be had - ANS-B. Ask the answering carrier to contact the on-name fitness care provider
four. An emergency department (ED) nurse is monitoring a client with suspected acute
myocardial infarction (MI) who is waiting for switch to the coronary in depth care unit. The nurse
notes the unexpected onset of premature ventricular contractions (PVCs) at the display,
assessments the client's carotid pulse, and determines that the PVCs are not resulting in
perfusion. The suitable movement via the nurse is:
A. Documenting the findings
B. Asking the ED fitness care company to check the purchaser
C. Continuing to reveal the client's cardiac fame
D. Informing the patron that PVCs are anticipated after an MI - ANS-B. Asking the ED health
care company to test the consumer
,five. NPO status is imposed 8 hours earlier than the manner on a customer scheduled to go
through electroconvulsive therapy (ECT) at 1 p.M. On the morning of the system, the nurse
assessments the patron's record and notes that the client automatically takes an oral
antihypertensive medicinal drug every morning. The nurse must:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medication with the aid of manner of the intravenous (IV) direction
D. Hold the antihypertensive and resume its administration on the day after the ECT - ANS-A.
Administer the antihypertensive with a small sip of water
6. A purchaser who lately underwent coronary artery skip graft surgical treatment comes to the
health care company's office for a comply with-up go to. On assessment, the consumer tells the
nurse that he's feeling depressed. Which reaction through the nurse is healing?
A. "Tell me greater about what you're feeling."
B. "That's a ordinary reaction after this kind of surgery."
C. "It will take time, however, I promise you, you'll get over this melancholy."
D. "Every consumer who has this surgical operation feels the identical manner for about a
month." - ANS-A. "Tell me more about what you feel."
7. A patron in labor stories spontaneous rupture of the membranes. The nurse at once counts
the fetal coronary heart charge (FHR) for 1 full minute after which tests the amniotic fluid. The
nurse notes that the fluid is yellow and has a robust smell. Which movement should be the
nurse's priority?
A. Contacting the health care issuer
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the purchaser and the FHR - ANS-A. Contacting the health care
company
8. A nurse has assisted a health care issuer in putting a relevant venous access tool right into a
client with a diagnosis of excessive malnutrition who could be receiving parenteral vitamins
(PN). After insertion of the catheter, the nurse straight away plans to:
A. Call the radiography department to reap a chest x-ray
B. Check the customer's blood glucose stage to function a baseline size
C. Hang the prescribed bag of PN and begin the infusion on the prescribed price
D. Infuse regular saline answer thru the catheter at a price of one hundred mL/hr to hold
patency - ANS-A. Call the radiography department to obtain a chest x-ray
9. A rape sufferer being handled in the emergency branch says to the nurse, "I'm honestly
worried that I've got HIV now." What is the correct response by means of the nurse?
A. "HIV is rarely an problem in rape sufferers."
B. "Every rape victim is involved approximately HIV."
C. "You're more likely to get pregnant than to agreement HIV."
,D. "Let's communicate approximately the statistics that you need to determine your chance of
contracting HIV." - ANS-D. "Let's communicate approximately the statistics that you need to
determine your threat of contracting HIV."
10. A consumer is taking prescribed ibuprofen , three hundred mg orally 4 instances daily, to
relieve joint pain resulting from rheumatoid arthritis. The patron tells the nurse that the
medication is inflicting nausea and indigestion. The nurse have to tell the customer to:
A. Contact the health care provider
B. Stop taking the drugs
C. Take the medicine with meals
D. Take the drugs twice an afternoon as opposed to four times - ANS-C. Take the medication
with meals
eleven. A client's oral intake of liquids includes a hundred and twenty mL at the night shift, 800
mL at the day shift, and 650 mL at the night shift. The patron is receiving an intravenous (IV)
antibiotic every 12 hours, diluted in 50 mL of normal saline answer. The nurse empties 700 mL
of urine from the purchaser's Foley catheter at the end of the day shift. Thereafter, 500 mL of
urine is emptied at the cease of the nighttime shift and 325 mL at the give up of the night shift.
Nasogastric tube drainage totals one hundred fifty five mL for the 24-hour period, and the
overall drainage from the Jackson-Pratt tool is a hundred seventy five mL. What is the client's
general consumption at some stage in the 24-hour period? Type your solution in the space
supplied. ________mL - ANS-1670 mL
Rationale: The consumer's 24-hour general oral consumption is 1570 mL, and the IV intake
totals a hundred mL (50 mL of regular saline solution every 12 hours). Therefore the 24-hour
intake total is 1670 mL.
12. Lorazepam 1 mg by way of manner of intravenous (IV) injection (IV push) is prescribed for a
customer for the control of anxiety. The nurse prepares the medication as prescribed and
administers the medication over a period of:
A. 3 mins
B. 10 seconds
C. 15 seconds
D. 30 minutes - ANS-A. Three minutes
13. A nurse, undertaking an assessment of a purchaser being seen inside the medical institution
for signs of a sinus infection, asks the client about medicinal drugs that he is taking. The
customer tells the nurse that he is taking nefazodone hydrochloride . On the idea of this
information, the nurse determines that the purchaser maximum probable has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease - ANS-A. Depression
, 14. Phenelzine sulfate is prescribed for a patron with depression. The nurse gives records to the
purchaser about the detrimental outcomes of the medication and tells the client to contact the
fitness care provider straight away if she studies:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ANS-D. Neck stiffness or pain
15. Risperidone is prescribed for a customer hospitalized in the intellectual fitness unit for the
remedy of a psychotic disease. Which locating inside the purchaser's medical report could
prompt the nurse to touch the prescribing fitness care company before administering the drugs?
A. The patron has a records of cataracts.
B. The purchaser has a history of hypothyroidism.
C. The consumer takes a prescribed antihypertensive.
D. The customer is allergic to acetylsalicylic acid (aspirin). - ANS-C. The patron takes a
prescribed antihypertensive.
Sixteen. A patron who has been undergoing lengthy-time period therapy with an antipsychotic
medicinal drug is admitted to the inpatient intellectual fitness unit. Which finding does the nurse,
knowing that long-time period use of an antipsychotic remedy can purpose tardive dyskinesia,
display within the purchaser?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ANS-D. Tongue protrusion
17. A nurse is reviewing the document of a consumer scheduled for electroconvulsive remedy
(ECT). Which prognosis, if noted on the customer's file, could imply a need to touch the health
care issuer who's scheduled to carry out the ECT?
A. Recent stroke
B. Hypothyroidism
C. History of glaucoma
D. Peripheral vascular disorder - ANS-A. Recent stroke
18. A customer scheduled for suprapubic prostatectomy has listened to the healthcare
professional's clarification of the surgical operation. The consumer later asks the nurse to give
an explanation for again how the prostate goes to be eliminated. The nurse tells the client that
the prostate might be removed through:
A. A decrease abdominal incision
B. An higher stomach incision
C. An incision made inside the perineal area
D. The urethra, with using a reducing cord - ANS-A. A lower abdominal incision
